<div class="layuimini-container">
    <form id="app-form" class="layui-form layuimini-form">
        
        <div class="layui-form-item">
            <label class="layui-form-label">收费项目</label>
            <div class="layui-input-block">
                <input type="text" name="goods_id" class="layui-input" lay-verify="required" placeholder="请输入收费项目" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">购买人Id</label>
            <div class="layui-input-block">
                <input type="text" name="user_id" class="layui-input"  placeholder="请输入购买人Id" value="0">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">支付时间</label>
            <div class="layui-input-block">
                <input type="text" name="pay_time" class="layui-input"  placeholder="请输入支付时间" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">发货时间</label>
            <div class="layui-input-block">
                <input type="text" name="shipping_time" class="layui-input"  placeholder="请输入发货时间" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">订单状态</label>
            <div class="layui-input-block">
                <select name="order_status" lay-verify="required">
                    <option value=''></option>
                    {foreach $getOrderStatusList as $k=>$v}
                    <option value='{$k}' >{$v}</option>
                    {/foreach}
                </select>
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">发货状态</label>
            <div class="layui-input-block">
                <select name="shipping_status" lay-verify="required">
                    <option value=''></option>
                    {foreach $getShippingStatusList as $k=>$v}
                    <option value='{$k}' >{$v}</option>
                    {/foreach}
                </select>
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">支付状态</label>
            <div class="layui-input-block">
                <select name="pay_status" lay-verify="required">
                    <option value=''></option>
                    {foreach $getPayStatusList as $k=>$v}
                    <option value='{$k}' >{$v}</option>
                    {/foreach}
                </select>
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">订单金额</label>
            <div class="layui-input-block">
                <input type="text" name="total_amount" class="layui-input" lay-verify="required" placeholder="请输入订单金额" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">应付金额</label>
            <div class="layui-input-block">
                <input type="text" name="order_amount" class="layui-input" lay-verify="required" placeholder="请输入应付金额" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">优惠金额</label>
            <div class="layui-input-block">
                <input type="text" name="order_prom_amount" class="layui-input"  placeholder="请输入优惠金额" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">订单类型</label>
            <div class="layui-input-block">
                {foreach $getPromTypeList as $k=>$v}
                <input type="radio" name="prom_type" value="{$k}" title="{$v}" {in name="k" value="0"}checked=""{/in}>
                {/foreach}
            </div>
        </div>

        <div class="layui-form-item">
            <label class="layui-form-label">关联预约</label>
            <div class="layui-input-block">
                <input type="text" name="appointment_id" class="layui-input" lay-verify="required" placeholder="请输入关联预约" value="">
            </div>
        </div>
        <div class="hr-line"></div>
        <div class="layui-form-item text-center">
            <button type="submit" class="layui-btn layui-btn-normal layui-btn-sm" lay-submit>确认</button>
            <button type="reset" class="layui-btn layui-btn-primary layui-btn-sm">重置</button>
        </div>

    </form>
</div>